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윤승호,방덕영 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2
This study was undertaken to find out factors predicting the results of the nonoperative treatment for lumbar intervertebral disc. Inclusion criteria were as follows : 1) The patient was comfirmed lumbar intervertebral disc in the computed tomography and/or magnetic resonance imaging by a radiologist's reading. 2) The patient had undergone an intensive physical rehabilitation program for at least four weeks. 3) The patient should have no other medical problems which delayed the period of treatment or aggravated the symptom. 4) The patient should have no previous lumbar surgery. All patients were assessed by the low back pain protocol which was composed of symptom, clinical sign and activities of daily living scales before and after the treatment. Changes in LBP score were evaluated by age, sex, occupation, duration of the symptom, means of the payment, marital status, education period, radiologic finding, self assessement and MMPI. In conclusion, poor result could be predicted after the nonoperative treatment in the patient groups of : 1) duration of the symptom over 6 months, 2) hospital payment by others, and 3) high score in the Hypochondriasis and Hysteria scales in MMPI.
김봉옥,박상균,방덕영 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2
The purposes of this study were to evaluate the status of rehabilitation of spinal cord injured patients and to obtain baseline data for their comprehensive rehabilitation in Taejon and Chungnam area by questionnaire to the spinal cord injured in this area who suffered for 1 year or longer. The study population was consisted of 79 men, and 3 women. The results were as follows. 1. In age distribution, 33 cases(40.2%) were in their fourth decade and 19 cases(23.2%) were in the fifth decade. The causes of the injury were traffic accidents, hit by flying object, falls, and diseases in the order of frequency. 2. Twelve cases(14.6%) were quadriplegics, 70 cases(85.4%) were paraplegics, and 49 cases(59.87%) were job-related injury. 3. Most of the patients experienced various complications such as pain in paralyzed area, spasticity, and urinary tract infections in the order of frequency. 4. Sixty-seven cases(81.7%) were not supported by the goverment's plan to provide orthoses for the disabled with low income. 5. Among architecturaa barriers, the most common limitation to the patients was toilet(51.2%) accessibility. 6. In men responders, 34 cases(75.4%) were unable to pursue sexual intercourse. 7. The most common cause of dependency in ADL was bowel and bladder problem. With the above results, we conclude that 1) establishment of the comprehensive spinal cord injury center, 2) provision of opportunity of the continuous formal education, 3) assistance of productive activities, 4) removal of architectural barriers at home and community, and 5) obligation of registration of the disabled are necessary for the comprehensive rehabilitation of spinal cord injured patients is Taejon and Chungnam region.